Lumbar Puncture Template
ICU LUMBAR PUNCTURE PROCEDURE NOTE OPERATOR: INDICATION: PROCEDURE: Lumbar Puncture Informed consent was obtained from the patient’s family ____________ Patient was put in full spinal flexion/lateral decubitus (neck in flexion and knees to abdomen/chest) Spinous processes land-marked for Tuffier’s line (PSIS across laterally) – location of L4 Cap/mask + sterile gown/gloves donned by operator Lower back prepared with chlorhexidine and draped in standard sterile fashion Local anesthetic instilled into back (Lidocaine 1% w/o epinephrine – ___ cc) 22-Gauge (8.9cm) Tuohy